IMPLEMENTATION OF CASEMIX SYSTEM AS PROSPECTIVE PROVIDER PAYMENT METHOD IN SOCIAL HEALTH INSURANCE: A CASE STUDY OF ACHEH PROVINCIAL HEALTH INSURANCE - Tapa blanda

Aljunid, Syed Mohamed; Saputra, Dr Irwan

 
9781543771978: IMPLEMENTATION OF CASEMIX SYSTEM AS PROSPECTIVE PROVIDER PAYMENT METHOD IN SOCIAL HEALTH INSURANCE: A CASE STUDY OF ACHEH PROVINCIAL HEALTH INSURANCE
Tapa blanda
ISBN 10: 1543771971 ISBN 13: 9781543771978
Editorial: Partridge Publishing Singapore, 2022

Sinopsis

The Government of Aceh Province in Indonesia has established the Social Health Insurance (SHI) called Jaminan Kesehatan Aceh (JKA) in 2006 that provide health coverage to all 4.6 million population of the province. Fee-for-service was initially used as the provider payment method in the programme until 2013. In 2014, in line with the National Health Insurance of Indonesia (Jaminan Kesehatan Nasional JKN), INA-CBG (Indonesia Case-Based Group) casemix system was adopted by JKA to replace the Fee-for-Service method. This book presents outcome of the evaluation done using a combination of qualitative and quantitative methods on the implementation of JKA programme. The quantitative study was conducted to assess income of three selected hospitals (Type B, C and D) reimbursed using INA-CBG groups covering more than 17,000 cases. Quantitative data analysis revealed that overall, the hospitals received 32.4% higher income when reimbursed with casemix system (INA-CBG) as compared to fee-for-service. Type D hospital is the biggest gainer with 81.0% increase in income. In conclusion, the use of Casemix (INA-CBG) as a prospective payment method has benefitted the hospitals a lot. It is hope that additional resources gained through this programme will allow the hospitals to provide optimum care to the population.

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Editorial
Partridge Publishing Singapore
Año de publicación
2022
Idioma
Inglés
ISBN 10 
1543771971
ISBN 13 
9781543771978
Encuadernación
Tapa blanda
Número de páginas
262
Contacto del fabricante
no disponible
Persona responsable
gpsr@libri.de
gpsr@libri.de

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